Inspection Reports for Starkville Manor Health Care and Rehabilitation Center

The State Agency conducted a desk review of information related to a complaint survey completed on 2026-01-05 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2026-01-27.

The visit was related to a complaint survey completed on 2026-01-05. The facility was found to be in compliance based on the desk review.

The State Agency conducted a desk review of information related to a complaint survey completed on 2026-01-05 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 2026-01-27.

The visit was related to a complaint survey completed on 2026-01-05; the facility's corrective measures were reviewed and found satisfactory.

The State Agency conducted a complaint investigation at the facility on 01/05/2026 related to abuse allegations and compliance with Medicare and Medicaid participation requirements.

The facility failed to ensure a resident's right to be treated with dignity and respect for one of five residents sampled. A Certified Nursing Assistant was found to have acted in an unprofessional, rude, and disrespectful manner toward Resident #1, which was confirmed by interviews and record reviews.

The complaint investigation was substantiated for abuse related to resident rights violations involving disrespectful and unprofessional conduct by a Certified Nursing Assistant toward Resident #1.

The State Agency conducted a Complaint Investigation at the facility on 01/05/2026 regarding resident rights.

The facility failed to ensure a resident's right to be treated with dignity and respect for one of five residents sampled. Interviews with the resident, staff, and administrator confirmed that a Certified Nursing Assistant treated the resident in a hurried and rude manner, violating resident rights.

Complaint Investigation MS #2671620 for resident rights. The complaint was substantiated as the facility failed to ensure dignity and respect for Resident #1.

The State Agency conducted a desk review of information provided related to the annual survey completed on 2025-09-10 to verify corrective measures taken by the facility.

The facility demonstrated that it had implemented measures to correct the previously identified deficient practices and sustain compliance with Medicare and Medicaid participation requirements. The State Agency recommended the facility be placed back in compliance effective 2025-10-08.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-09-10 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation. The State Agency recommended the facility be placed back in compliance effective 2025-10-08.

The State Agency conducted an annual re-certification survey with two complaint investigations at the facility from 09/08/2025 through 09/10/2025. The complaint investigations involved a resident-to-resident sexual abuse incident and quality of care concerns.

The facility was found not in compliance with Medicare and Medicaid requirements and cited for multiple deficiencies including failure to ensure resident dignity during meals, failure to implement comprehensive care plans, failure to provide assistance with activities of daily living, failure to apply physician-ordered splinting devices, and failure to submit accurate staffing data to CMS. Corrective actions and quality monitoring plans were initiated.

Two complaint investigations were conducted: CI MS #482439 related to a resident-to-resident sexual abuse incident and CI MS #482443 related to quality of care. Deficiencies were cited related to the sexual abuse complaint, but no deficiencies were cited related to the quality of care complaint.

The State Agency conducted an annual re-certification survey with two complaint investigations at the facility from 2025-09-08 through 2025-09-10 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with licensure requirements, citing deficiencies related to residents' rights, activities of daily living, and range of motion. Specific failures included lack of supervision and assistance with meals for Resident #4, inadequate personal hygiene and grooming for Resident #29, and failure to apply a physician-ordered hand splint for Resident #4.

Two complaint investigations were conducted: CI MS #482439 related to resident-to-resident sexual abuse and CI MS #482443 related to quality of care with no deficiencies cited. The facility was found non-compliant in the investigation related to resident dignity and care.

The State Agency conducted a complaint investigation (CI) MS 26498 at the facility on 9/17/24 related to allegations of abuse and misappropriation.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm, with no deficiencies cited related to abuse and misappropriation.

Complaint investigation MS 26498 was conducted and found no deficiencies related to abuse and misappropriation; the complaint was not substantiated.

The State Agency conducted a complaint investigation (CI) MS 26498 at the facility on 9/17/24.

The facility was found compliant with Medicare and Medicaid participation requirements with no deficiencies cited related to abuse and misappropriation.

Complaint investigation MS 26498 was conducted and found no deficiencies related to abuse and misappropriation; the facility was compliant.

The State Agency conducted an onsite revisit related to the annual survey completed on 07/02/24 to verify correction of previously identified deficiencies.

The facility had implemented measures to correct the deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 08/05/24.

The State Agency conducted an onsite revisit related to the annual survey completed on 07/02/24 to verify correction of previously identified deficiencies.

The facility had implemented measures to correct the deficient practices and sustain compliance with State Requirements and Regulations for the Aged and Infirm. The State Agency recommended the facility be placed back in compliance effective 08/05/24.

The State Agency conducted an onsite complaint investigation for alleged neglect and verbal abuse of a resident.

The facility was found to be in compliance with the Standards for Participation in Medicare and Medicaid with no deficiencies cited during this investigation. However, the facility remains out of compliance due to deficiencies cited in a prior survey dated 07/02/24.

Complaint investigation CI MS#26006 for alleged neglect and verbal abuse of a resident; no deficiencies were cited and the facility was found in compliance.

The State Agency conducted an onsite complaint investigation for alleged neglect and verbal abuse of a resident.

The facility was found to be in compliance with the Rules and Regulations for The Aged and Infirmed and no deficiencies were cited during this complaint investigation. However, the facility remains out of compliance due to deficiencies cited on a prior survey dated 07/02/24.

Complaint investigation CI MS#26006 for alleged neglect and verbal abuse of a resident; no deficiencies were cited and the facility was found in compliance.

The State Agency conducted three complaint investigations at the facility from 7/1/24 through 7/2/24, focusing on resident rights related to personal funds and abuse allegations.

The facility was found non-compliant with Medicare and Medicaid requirements regarding resident rights related to personal funds for one complaint investigation (CI MS #25510), specifically failing to ensure residents' personal funds were available on the same day as requested for two residents. The facility was compliant with the other two complaint investigations related to abuse.

Three complaint investigations were conducted (CI MS #25350, CI MS #25510, and CI MS #25714). The facility was non-compliant for CI MS #25510 related to resident rights and personal funds, and compliant for CI MS #25350 and CI MS #25714 related to abuse.

The State Agency conducted complaint investigations at the facility from 7/1/24 through 7/2/24 related to resident rights and abuse allegations.

The facility was found not in compliance with Mississippi Regulations Minimum Standards for Institutions for the Aged or Infirm for resident rights related to personal funds for two residents. The facility failed to ensure residents' personal funds were available for use on the same day as requested. The facility was in compliance for abuse-related complaints.

Complaint investigations MS #25350, MS #25510, and MS #25714 were conducted. Noncompliance was found for MS #25510 related to resident rights and personal funds. The facility was compliant for MS #25350 and MS #25714 related to abuse with no deficiencies cited.

The State Agency conducted three complaint investigations at the facility from 7/1/24 through 7/2/24, focusing on resident rights related to personal funds and abuse allegations.

The facility was found not in compliance with Medicare and Medicaid requirements regarding resident rights related to personal funds for one complaint investigation, specifically failing to ensure residents' personal funds were available on the same day as requested for two residents. The facility was in compliance for the other two complaint investigations related to abuse.

Three complaint investigations were conducted (CI MS #25350, CI MS #25510, and CI MS #25714). The facility was found non-compliant for CI MS #25510 related to resident rights and personal funds, and compliant for CI MS #25350 and CI MS #25714 related to abuse with no deficiencies cited.

The State Agency conducted three complaint investigations at the facility from 7/1/24 through 7/2/24, focusing on resident rights related to personal funds and abuse allegations.

The facility was found non-compliant with resident rights related to personal funds for one complaint investigation (CI MS #25510), specifically failing to ensure residents' personal funds were available on the same day as requested for two residents. The facility was compliant for the other two complaint investigations related to abuse.

Three complaint investigations were conducted (CI MS #25350, CI MS #25510, and CI MS #25714). The facility was found non-compliant for CI MS #25510 related to resident rights and personal funds, and compliant for CI MS #25350 and CI MS #25714 related to abuse with no deficiencies cited.

The State Agency conducted complaint investigations at the facility from 7/1/24 through 7/2/24 related to resident rights concerning personal funds and abuse allegations.

The facility was found not in compliance with resident rights related to personal funds for two residents, failing to ensure personal funds were available on the same day as requested. The facility was in compliance regarding abuse allegations. The facility kept insufficient petty cash funds, causing delays in disbursement to residents.

Complaint investigations MS #25350, MS #25510, and MS #25714 were conducted. Noncompliance was found for MS #25510 related to resident rights and personal funds. No deficiencies were cited for MS #25350 and MS #25714 related to abuse.

The State Agency conducted a revisit survey at the facility from 03/18/24 through 03/19/24 to verify compliance with previously cited deficiencies related to resident rights, activities of daily living, and pressure ulcers.

The facility was placed back into compliance as of 03/08/24 for deficiencies related to resident rights (M500), activities of daily living (M610), and pressure ulcers (M615).

The State Agency conducted a revisit at the facility from 03/18/24 through 03/19/24 to verify correction of previously cited deficiencies.

The facility was placed back into compliance as of 03/08/24 for multiple deficiencies related to neglect, care planning, quality of care, medication storage, and other areas.

The State Agency conducted an annual recertification survey from 1/29/24 through 2/06/24 to determine compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with resident rights, pressure sore care, and activities of daily living. An Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) was identified related to failure to timely treat wounds and follow physician orders, resulting in worsening pressure ulcers and risk of serious harm. The facility failed to provide adequate wound care, delayed x-rays and antibiotic treatment, and failed to provide proper activities of daily living care including shaving and nail care for dependent residents.

The State Agency conducted an annual recertification survey to determine compliance with Medicare and Medicaid participation requirements, including investigation of an Immediate Jeopardy related to wound care and professional standards.

The facility was found not in compliance with multiple regulatory requirements including failure to implement physician orders for wound care, delayed treatment of pressure ulcers, inadequate pain management, and failure to monitor and document care properly. An Immediate Jeopardy was identified and later removed after corrective actions including termination of the wound nurse and staff education.

The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Life Safety Code, and no LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements during the survey.

The State Agency conducted a desk review related to a complaint survey completed on 2023-11-08 to determine compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2023-12-08.

The visit was a desk review following a complaint survey. The facility was found to be in compliance and the complaint was effectively resolved.

The State Agency conducted a Complaint Investigation at the facility for CI MS #23480 on 12/05/23.

During the survey, the facility was found in compliance with requirements for The Aged and Infirm, but remains out of compliance for deficiencies cited on their 11/08/2023 survey.

Complaint Investigation for CI MS #23480; facility found in compliance during this visit.

The State Agency conducted a Complaint Investigation at the facility for CI MS #23480 on 12/05/23.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited. However, the facility remains out of compliance for deficiencies cited in the prior 11/08/2023 survey.

Complaint Investigation CI MS #23480 was conducted and found no deficiencies; the complaint was not substantiated.

The State Agency conducted a complaint investigation from 11/07/23 through 11/08/23 due to allegations of misappropriation of resident trust funds.

The facility failed to employ proper bookkeeping techniques for individual resident trust funds, resulting in misappropriation of funds for three residents. An audit revealed multiple unauthorized withdrawals and missing receipts, leading to reimbursement of affected residents. The former Business Office Manager was terminated for poor work performance and misappropriation. The facility implemented corrective actions including audits, staff education, and ongoing monitoring.

Complaint investigation MS#23177 was substantiated with findings of misappropriation of resident trust funds involving three residents. The incident was reported to the Attorney General, State Department of Health, and Starkville Police Department. A 100% audit of all residents with trust fund accounts identified 31 residents affected, all of whom were refunded.

The State Agency conducted a complaint investigation at the facility from 11/07/23 through 11/08/23 due to allegations of misappropriation of resident funds and failure to maintain proper bookkeeping techniques.

The facility was found non-compliant with Medicare and Medicaid requirements related to accounting and protection of resident trust funds. The former Business Office Manager misappropriated funds from three residents' trust accounts, leading to financial discrepancies and missing money. The facility reimbursed affected residents and implemented corrective actions including audits, staff education, and ongoing monitoring.

The complaint investigation (CI MS#23177) revealed misappropriation of resident trust funds by the former Business Office Manager, affecting three residents directly and potentially 29 residents in total. The incident was reported to the Attorney General, State Department of Health, and local police. A full audit was conducted, and affected residents were reimbursed.

The visit was conducted as a complaint survey triggered by a complaint received by the State Agency.

The State Agency conducted a desk review of information related to the complaint survey and confirmed that the facility had implemented measures to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The facility was recommended to be placed back in compliance effective 12/08/23.

The complaint survey was completed on 11/08/23. The facility provided information confirming corrective measures were taken. The State Agency recommended the facility be placed back in compliance effective 12/08/23.

The State Agency conducted a complaint survey at the facility from 8/2/23 through 8/3/23.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm related to pressure sores.

Complaint survey MS #21960 was conducted; the facility was found compliant regarding pressure sores.

The State Agency conducted a complaint survey at the facility from 8/2/23 through 8/3/23 related to documentation of pressure ulcer care.

The facility was found to be in compliance with Medicare and Medicaid requirements related to documentation of pressure ulcer care.

Complaint survey MS #21960 was conducted and the facility was found compliant.

The State Agency conducted a complaint survey at the facility from 6/21/23 through 6/22/23 to investigate a complaint regarding Residents Rights.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaint was not substantiated and no deficiencies were cited.

Complaint survey MS #21623 was conducted; the complaint regarding Residents Rights was not substantiated.

The State Agency conducted a complaint survey at the facility from 6/21/23 through 6/22/23 in response to complaint MS #21623.

The facility was found to be in compliance with Medicare and Medicaid participation requirements. The complaint regarding Residents Rights was not substantiated and no deficiencies were cited.

Complaint MS #21623 was investigated and found not substantiated for Residents Rights.

The State Agency conducted a revisit at the facility to verify compliance with previous deficiencies related to Administration and nursing services.

The facility was found to be back in compliance with the cited deficiencies as of 04/20/2023.

The State Agency conducted a revisit at the facility to verify compliance with previously cited deficiencies related to residents' rights, staffing, posting of staffing requirements, and administration.

The facility was found to be back in compliance for all previously cited deficiencies as of 04/20/2023.

The State Agency conducted an onsite complaint investigation triggered by allegations that the 2nd and 3rd shifts did not have enough staff and that resident supplies were not available.

The facility was found to be in substantial compliance with regulations and no deficiencies were cited during this complaint investigation. However, the facility remains out of compliance due to deficiencies cited in a prior survey conducted on 2023-03-14.

Complaint investigation MS00021332 was conducted regarding staffing shortages on 2nd and 3rd shifts and lack of resident supplies; the complaint was not substantiated as no deficiencies were cited.

The State Agency conducted an onsite complaint investigation (CI MS #21332) due to allegations that the 2nd and 3rd shifts did not have enough staff and that resident supplies were not available.

The State Agency determined that the facility was in substantial compliance with the Standards for Participation in Medicaid and Medicare Services and no deficiencies were cited during this investigation. However, the facility remains out of compliance due to deficiencies cited on the 3/14/2023 survey.

Complaint investigation CI MS #21332 alleged insufficient staffing on 2nd and 3rd shifts and lack of resident supplies; the complaint was not substantiated as no deficiencies were cited.

The State Agency conducted five complaint investigations from 04/04/23 through 04/05/23.

The facility was found to be in compliance with the Minimal Standards of Operation for Institutions for the Aged or Infirm with no deficiencies cited.

Five complaint investigations (CI MS# 21043, CI MS# 021101, CI MS# 21109, CI MS# 21110, and CI MS# 21166) were conducted and found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted five complaint investigations at the facility from 04/04/2023 through 04/05/2023.

The facility was found to be in compliance with Medicare and Medicaid Services requirements with no deficiencies cited.

Five complaint investigations (CI MS# 21043, CI MS# 021101, CI MS# 21109, CI MS# 21110, and CI MS# 21166) were conducted, and no deficiencies were found.

The State Agency conducted three onsite complaint investigations for alleged environmental disrepairs, disrepair of the facility van lift, unavailable necessary patient equipment, shortages of nursing staff on second and third shifts, and a resident fall from a wheelchair on the facility van.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited for Resident Rights due to no survey results posted, insufficient nursing staff, unavailable and non-current nurse staffing information, and ineffective use of staffing resources. The facility had been short of nursing staff on weekends for second and third shifts for an extended period.

The complaint investigations included allegations of environmental disrepairs, disrepair of the facility van lift, unavailable necessary patient equipment, shortages of nursing staff on second and third shifts, and a resident fall from a wheelchair on the facility van. The facility was confirmed to have staffing shortages on weekends for second and third shifts. The facility was found in compliance for the resident fall incident complaint.

The State Agency conducted three onsite complaint investigations from 03/12/23 through 03/14/23 related to environmental disrepairs, van lift disrepair, unavailable patient equipment, resident fall from a wheelchair on the facility van, and nursing staff shortages on second and third shifts most weekends.

The facility was found not in compliance with state licensure requirements related to staffing shortages on second and third shifts most weekends. Deficiencies were cited for insufficient nursing staff and failure to maintain required staffing ratios. Interviews and record reviews confirmed chronic understaffing, lack of posted census and staffing information, and recent efforts to hire contract/agency staff to improve staffing levels.

The complaint investigations included allegations of environmental disrepairs, van lift disrepair, unavailable necessary patient equipment, resident fall from wheelchair on facility van, and nursing staff shortages on second and third shifts most weekends. The facility was found non-compliant related to staffing shortages but compliant regarding the resident fall incident.

The State Agency conducted a desk review of information related to the annual survey conducted on 10/19/22 to verify correction of previously identified deficient practices.

The facility provided information confirming that measures were put in place to correct the deficient practice and sustain compliance with the 2012 Edition of the Life Safety Code. The State Agency recommended the facility be placed back in compliance effective 11/18/22.

The State Agency conducted a follow-up survey to determine compliance with Medicare and Medicaid participation requirements.

The facility was found to be in compliance with the requirements for participation in Medicare and Medicaid and was put back in compliance effective 11/18/2022.

The State Agency conducted a follow-up survey to verify the facility's compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged.

The facility was found to be in compliance and was put back in compliance effective 11/18/22.

The State Agency conducted a follow-up survey to determine compliance with Medicare and Medicaid participation requirements.

The facility was found to be in compliance with the requirements for participation in Medicare and Medicaid and was put back in compliance effective 11/18/2022.

The State Agency conducted a follow-up survey to determine compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged.

During the follow-up survey, the facility was found to be in compliance and was put back in compliance effective 11/18/22.

The State Agency conducted an annual recertification survey along with complaint investigations and a facility reported incident from 10/16/22 through 10/19/22 to assess compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found non-compliant with staffing requirements, activities of daily living, incontinent care, pressure sore management, safe food handling, and housekeeping standards. Staffing shortages were noted for 23 of 28 days reviewed, resulting in inadequate resident care. Deficiencies in ADL care and pressure sore treatment were documented. Food safety violations included unlabeled food items and unsanitary kitchen conditions. Housekeeping deficiencies included dirty rooms, broken blinds, and unclean feeding equipment.

The complaint investigation CI MS #19575 was substantiated related to Quality of Care including Staffing, Activities of Daily Living, and Incontinent Care. The complaint CI MS #19636 related to verbal abuse was not substantiated.

The State Agency conducted an annual recertification along with complaint investigations and a facility reported incident from 10/16/22 through 10/19/22 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with multiple regulatory requirements including quality of care, environment cleanliness, care plan implementation, ADL care, incontinent care, staffing sufficiency, medication security, food safety, and administration. Deficiencies were substantiated related to resident care, staffing shortages, medication cart security, food storage and preparation, and failure to hold quarterly QA meetings.

Complaint investigations substantiated for Quality of Care related to resident being left soiled, not groomed, environment, and facility staffing. Complaint for verbal abuse was not substantiated.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA), specifically regarding corridor doors and their ability to resist smoke passage and properly latch.

The facility failed to properly protect corridor openings as required by NFPA 19 3.6.3.5, affecting two of five smoke compartments and 31 of 108 residents. Corridor doors to Rooms A-31, A-19, B-24, and B-18 were unable to close to a positive latching position and could not resist smoke passage.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited.

The State Agency conducted an annual recertification survey along with complaint investigations and a facility reported incident from 10/16/22 through 10/19/22.

The facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. Deficiencies were identified related to staffing shortages, inadequate activities of daily living care, pressure sore management, and housekeeping/cleanliness issues.

Complaint CI MS #19575 was substantiated related to Quality of Care including Staffing, Activities of Daily Living, and Incontinent Care. Complaint CI MS #19636 related to verbal abuse was not substantiated.

The State Agency conducted an annual recertification survey along with complaint investigations and a facility reported incident from 10/16/22 through 10/19/22 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with multiple regulatory requirements including safe environment, comprehensive care plans, ADL care, pressure ulcer treatment, sufficient nursing staff, administration, and quality assurance committee meetings. Deficiencies included unclean environment, failure to implement care plans, inadequate ADL and incontinent care, worsening pressure ulcers due to delayed care, insufficient staffing, and failure to hold required QA meetings.

The complaint investigation CI MS #19575 was substantiated for Quality of Care related to residents being left soiled, not groomed, environmental issues, and facility staffing deficiencies. The complaint investigation CI MS #19636 for verbal abuse was not substantiated.

Survey conducted to assess compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited.

The State Agency conducted an onsite complaint investigation for allegations of abuse and neglect of residents by staff.

The State Agency was not able to substantiate the allegations and no deficiencies were cited. The facility was determined to be in substantial compliance with Medicare and Medicaid standards.

Complaint investigations for MS00019497, MS00019433, and MS00019447 regarding abuse and neglect allegations were not substantiated.

The State Agency conducted an onsite complaint investigation for allegations of abuse and neglect of residents by staff.

The State Agency was not able to substantiate the allegations and no deficiencies were cited. The facility was determined to be in substantial compliance with the requirements for The Aged and Infirmed.

Complaint investigations for MS00019497, MS00019433, and MS00019447 regarding allegations of abuse and neglect were not substantiated.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 10/08/2021 to assess compliance with Medicare and Medicaid participation requirements.

The facility was found to be in compliance with all requirements and no deficiencies were cited during the survey.

A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 10/08/2021 to assess compliance with 42 CFR 483.73 related to emergency preparedness.

The facility was found to be in compliance with the applicable emergency preparedness requirements during the survey.

A complaint investigation was conducted for allegations of neglect, staffing, and abuse.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The allegations were unsubstantiated with no deficiencies cited.

Complaint Investigation (CI) #18075 for allegations of neglect, staffing, and abuse was unsubstantiated with no deficiencies cited.

A Complaint Investigation (CI) for CI #18075 was conducted on 9/17/21 and 9/20/21 for allegations of neglect, staffing, and abuse.

The surveyor determined that the facility was in compliance with Medicare and Medicaid requirements. The allegations were unsubstantiated and no deficiencies were cited.

Complaint Investigation for allegations of neglect, staffing, and abuse; allegations were unsubstantiated with no deficiencies cited.

The State Agency conducted a complaint survey at the facility from 7/6/21 to 7/7/21 to investigate multiple complaints including dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing.

The State Agency determined the facility was in compliance with Medicare and Medicaid requirements and did not substantiate the complaints. No deficiencies were cited.

Complaints investigated included dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing; none were substantiated.

The State Agency conducted a complaint survey based on multiple complaint numbers at the facility from 7/6/21 to 7/7/21.

The facility was found to be in compliance with Medicare and Medicaid requirements. Complaints regarding dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing were not substantiated and no deficiencies were cited.

Complaints investigated included dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing. None were substantiated.

The State Agency conducted a complaint survey at the facility from 7/6/21 to 7/7/21 to investigate multiple complaints including dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, feeding assistance, telephone use, and staffing.

The State Agency determined the facility was in compliance with Medicare and Medicaid requirements, did not substantiate the complaints, and cited no deficiencies.

Complaints investigated included dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing. None were substantiated.

The State Agency conducted a complaint survey at the facility from 7/6/21 to 7/7/21 to investigate multiple complaints including dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, feeding assistance, telephone use, and staffing.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaints were not substantiated and no deficiencies were cited.

The complaints investigated included dignity, quality of care, pain medication, weight loss assessment, rehabilitation services, assessment and monitoring, inappropriate feeding assistance, telephone use, and staffing. None were substantiated.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 8/25/20 to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

The State Agency conducted a complaint survey investigating concerns related to Resident Rights and Patient care regarding Pressure Ulcers for Resident #1.

The concerns were not substantiated, no deficiencies were cited, and the facility was found to be in substantial compliance with Medicare and Medicaid requirements.

The complaint investigation was related to allegations of Resident Rights and Patient care concerning Pressure Ulcers for Resident #1, which were not substantiated.

The inspection was an annual licensure survey conducted from 10/20/19 to 10/23/19, combined with complaint investigations for MS #16161, MS #16246, and MS #16293.

The facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, with deficiencies related to inadequate assistance with activities of daily living (specifically nail care for dependent residents) and failure to maintain a sanitary and odor-free environment in parts of the facility.

The survey included complaints MS #16161, MS #16246, and MS #16293. The complaint MS #16293 related to environment and staffing was substantiated and cited. Complaints MS #16161 and MS #16246 related to Quality of Care and misappropriation were not substantiated.

The State Agency conducted an annual recertification survey along with complaint investigations from 10/20/19 to 10/23/19 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, substantiating one complaint related to environment and staffing. Deficiencies included failure to post daily nurse staffing information visibly and failure to maintain a sanitary, safe environment free of odors in multiple areas of the facility.

The complaint investigation MS# 16293 related to environment and staffing was substantiated. Complaints MS# 16161 and MS# 16246 related to quality of care and misappropriation were not substantiated.

The inspection was conducted as an annual licensure survey from 10/20/19 to 10/23/19, including investigation of complaints MS #16161, MS #16246, and MS #16293.

The facility was found not in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, with deficiencies cited related to housekeeping and sanitary conditions, including odors of urine and feces, overflowing linen barrels, and debris on resident floors in two of four halls and the building entrance.

The State Agency substantiated complaint MS #16293 related to environment and staffing, but did not substantiate complaints MS #16161 and MS #16246 related to quality of care and misappropriation.

Annual recertification survey combined with complaint investigations related to environment, staffing, quality of care, and misappropriation.

The facility was found not in compliance with Medicare and Medicaid participation requirements. Deficiencies were cited related to PASARR screening, comprehensive care plans, ADL care including nail care, nurse staffing posting, sanitary environment, sprinkler system coverage, hazardous area enclosures, and corridor door smoke resistance.

Complaints MS#16161, MS#16246, and MS#16293 were investigated. MS#16293 was substantiated related to environment and staffing. MS#16161 and MS#16246 related to quality of care and misappropriation were not substantiated.